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Picture of the Month Quiz

Image of figure 1


A 20-year-old African American woman presented to the pediatric dermatology department for evaluation of a widespread itchy rash involving the trunk and extremities, with acral accentuation, sparing the face. The rash had progressively worsened during the past 1.5 weeks.

Physical examination revealed a healthy-appearing young woman with widespread pink targetoid papules on the palms and soles of the feet (Figure) but also extending to the trunk. The patient reported being sexually active up until 3 months ago with a single male partner. She had no history of herpes virus infection or other sexually transmitted infections.

For a complete discussion of this month's case, read next month's Picture of the Month—Quiz Case. For a complete discussion of last month's case, read this month's Picture of the Month—Quiz Case.